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	<div id="modal">
        <div class="blackBox"></div> 
                                
            <div  class="modalStyle">
            <a href="#" class="closeIcon"></a>
             <h1 class="header30 textLight">Edit Globe Prepaid number</h1>
             
             <div class="planCodeBox">
                <input class="inputText floatLeft width215" placeholder="09xxxxxxxxx"/><a href="#" class="floatLeft buttonBlue text14 marg10Left marg10Top">Send Code</a>
                <span class="clear"></span>
                
                <div class="ValidateBox marg10Top">
                	<p class="text14 marg0">We sent you a text message with the verification code. Please enter the code below.</p>
                	<input class="inputText floatLeft width215 marg10Top" placeholder=""/><a href="#" class="floatLeft buttonBlue text14 marg10Left marg20Top"> Validate</a>
                    <span class="clear"></span>
                </div>
                
                 <label  class="customCheckbox marg10Top"><input type="checkbox" value=""  name="" /><span class="checkbg marg10Right"></span>
              <span>I don’t have a Globe Prepaid number</span></label>
               <span class="clear"></span>
              
              
              
              <div class="alignCenter marg20Top">
              <a href="#" class="buttonBlue text14 marg10Left marg10Top"><span class="icon other arrow"></span>Save Changes</a>
              </div>
              
          
             </div>       
          
        </div>            
		
	</div>